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Here’s what to do
We want to make it as easy as possible to find what you need. Choose the topic you need to find the page that explains each of these processes. Then, follow the steps.
Prior authorization (PA)
Complaints and appeals
Submit complaints and appeals and check the status of your submission on Availity. Or learn more about complaints and appeals.
Member eligibility
Check patient eligibility and benefits on Availity. Or learn more on our Provider Portal page.
Other ways to connect
Phone
You can call Provider Services with questions about enrollment, joining our network/credentialing, claims, PA and more.
STAR (Medicaid)
Bexar area: Call 1-800-248-7767 (TTY: 711).
Tarrant area: Call 1-800-306-8612 (TTY: 711).
We’re here for you 8 AM to 5 PM, Monday through Friday.
STAR Kids
Dallas and Tarrant areas: 1-844-787-5437 (TTY: 711).
We’re here for you 8 AM to 5 PM, Monday through Friday.
Children’s Health Insurance Program (CHIP) or CHIP Perinatal
Bexar area: Call 1-866-818-0959 (TTY: 711).
Tarrant area: Call 1-800-245-5380 (TTY: 711).
We’re here for you 8 AM to 5 PM, Monday through Friday.
Aetna Better Health of Texas
PO Box 818042
Cleveland, OH 44181-8042
Contact Contracting
You can learn about credentialing or how to make a new contract request. Questions? Contact Contracting.
If you’ve already tried the above service options and haven’t been able to resolve your question or issue, contact us. It may take several days to receive a response.
Resources and service partners
We work with vendors to provide STAR (Medicaid) and CHIP services:
Specialty medicine
A specialty pharmacy fills prescriptions for medicines that need special care and handling.
Vendor: CVS Specialty® Pharmacy
Phone: 1-800-237-2767 (TTY: 1-800-863-5488), Monday to Friday, 7:30 AM to 9 PM (ET).
Dental care
Members get certain dental care benefits. For more info, they can check their member ID card.
Vendor: DentaQuest
Online: DentaQuest.com/tx
Phone: 1-800-516-0165
Vendor: MCNA Dental
Online: MCNAtx.net/
Phone: 1-844-350-6262
Email: ContactUs@MCNA.net
Vendor: UnitedHealthcare Dental
Online: UHC.com/dentalTX
Phone: 1-877-901-7321
Vision care
Members get certain vision care and eye health benefits.
Vendor: Superior Vision
Online: SuperiorVision.com/locator/
Phone: 1-800-879-6901
Email: ContactCenter@SuperiorVision.com
Non-Emergency Medical Transportation (NEMT) services
NEMT services provide transportation to nonemergency health care appointments for members who have no other transportation options. These trips include rides to the doctor, dentist, hospital, pharmacy and other places members get Medicaid services. They don’t include ambulance trips.
Vendor: Access2Care
Phone: 1-866-411-8920 (TTY: 711): 24 hours a day, 7 days a week
App for smartphone use: Access2Care (A2C)
Telehealth services
Members can talk with a doctor at home or on the go. We’ve teamed up with MDLIVE® to connect them with licensed doctors, pediatricians and more with their smartphone, tablet or computer.
Vendor: MDLIVE
Online: MDLive.com/aetnamedicaidtx
Phone: 1-888-667-7652 (TTY: 1-800-770-5531)